# SANBORN GRATIOT MEMORIAL HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962839860
- **Authorized official:** KATHLEEN SWANTEK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (810) 388-1200

## Contact information

- **Practice address:** 2732 CHERRY ST, PORT HURON, MI 48060-2916
- **Practice address phone:** (810) 985-5631
- **Practice address fax:** (810) 985-5658
- **Mailing address:** 2732 CHERRY ST, PORT HURON, MI 48060-2916
- **Mailing address phone:** (810) 985-5631
- **Mailing address fax:** (810) 985-5658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2013
- **Last updated:** 10/09/2013